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Metastatic Uterine Leiomyosarcoma in the Upper Buccal Gingiva Misdiagnosed as an Epulis
Joint Authors
Cassoni, Andrea
Terenzi, Valentina
Bartoli, Davina
Rajabtork Zadeh, Oriana
Battisti, Andrea
Pagnoni, Mario
Conte, Davide
Lembo, Alessandro
Bosco, Sandro
Alesini, Francesco
Valentini, Valentino
Source
Case Reports in Oncological Medicine
Issue
Vol. 2014, Issue 2014 (31 Dec. 2014), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2014-10-15
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
Uterine leiomyosarcoma (LMS) is a rare tumor constituting 1% of all uterine malignancies.
This sarcoma demonstrates an aggressive growth pattern with an high rate of recurrence with hematologic dissemination; the most common sites are lung, liver, and peritoneal cavity, head and neck district being rarely interested.
Only other four cases of metastasis in the oral cavity have been previously described.
The treatment of choice is surgery and the use of adjuvant chemotherapy and radiation has limited impact on clinical outcome.
In case of metastases, surgical excision can be performed considering extent of disease, number and type of distant lesions, disease free interval from the initial diagnosis to the time of metastases, and expected life span.
We illustrate a case of uterine LMS metastasis in the upper buccal gingiva that occurred during chemotherapy in a 63-year-old woman that underwent a total abdominal hysterectomy with bilateral salpingo-oophorectomy for a diagnosis of LMS staged as pT2bN0 and that developed lung metastases eight months after primary treatment.
Surgical excision of the oral mass (previously misdiagnosed as epulis at a dental center) and contemporary reconstruction with pedicled temporalis muscle flap was performed in order to improve quality of life.
Even if resection was achieved in free margins, “local” relapse was observed 5 months after surgery.
American Psychological Association (APA)
Cassoni, Andrea& Terenzi, Valentina& Bartoli, Davina& Rajabtork Zadeh, Oriana& Battisti, Andrea& Pagnoni, Mario…[et al.]. 2014. Metastatic Uterine Leiomyosarcoma in the Upper Buccal Gingiva Misdiagnosed as an Epulis. Case Reports in Oncological Medicine،Vol. 2014, no. 2014, pp.1-4.
https://search.emarefa.net/detail/BIM-1017382
Modern Language Association (MLA)
Cassoni, Andrea…[et al.]. Metastatic Uterine Leiomyosarcoma in the Upper Buccal Gingiva Misdiagnosed as an Epulis. Case Reports in Oncological Medicine No. 2014 (2014), pp.1-4.
https://search.emarefa.net/detail/BIM-1017382
American Medical Association (AMA)
Cassoni, Andrea& Terenzi, Valentina& Bartoli, Davina& Rajabtork Zadeh, Oriana& Battisti, Andrea& Pagnoni, Mario…[et al.]. Metastatic Uterine Leiomyosarcoma in the Upper Buccal Gingiva Misdiagnosed as an Epulis. Case Reports in Oncological Medicine. 2014. Vol. 2014, no. 2014, pp.1-4.
https://search.emarefa.net/detail/BIM-1017382
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1017382